Salvage Procedures: Last Chance Before Arthroplasty

Elsevier

Available online 16 June 2022, 150937

Operative Techniques in Sports MedicineABSTRACT

Lower-extremity misalignment hastens the development of chondral and osteochondral knee lesions. In active young patients with bipolar osteochondral lesions, the bipolar fresh osteochondral allograft procedure is a useful salvage treatment option. Although the surgical technique is technically demanding and high reoperation and failure rates are expected, patients with surviving allografts show a significant clinical improvement. Careful patient selection is key to delivering desired results. In this review, we present and discuss recent surgical techniques and developments in bipolar fresh osteochondral allograft procedures.

Keywords

Osteochondral allograft

Cartilage repair

Fresh OCA

Transplantation

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